Two Women Convicted In Health Care Scam

Two women were convicted for their roles in a $34 million scam to defraud health care companies by billing for unnecessary medical procedures.

Olga Lilia Toscano, 37, of Irvine, was convicted on Wednesday of conspiracy and four counts of mail fraud, while co-defendant Maria Licea Rosales, 39, of Santa Ana, was convicted of conspiracy and one count of mail fraud. Jurors acquitted them on five counts and were unable to reach a verdict on another six counts.

Both women are scheduled to be sentenced March 28.

Toscano and Rosales worked as markets for the Millennium Outpatient Surgery Center in Santa Ana. Prosecutors said the women offered cash and discounted cosmetic surgery to people who had private health insurance coverage in order to persuade them to undergo unnecessary and overpriced procedures.

The women directed those they recruited to describe false and exaggerated symptoms to treating physicians at the clinic to obtain
authorization and payment from health insurers for the unnecessary
procedures, prosecutors said.

The center then inflated claims to the insurance companies.

The center's owner, Perry Pham, has pleaded guilty to one count of mail fraud and attorneys for the clinic also pleaded guilty to one count of money laundering.

Both are scheduled to be sentenced early next year.


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